Volunteer Form Please fill out the form below. About YouVolunteer Name(Required) First Last Mailing Address(Required) Street Address City ZIP Code Volunteer Email Address(Required) OccupationCell Phone(Required)Work Phone(Required)Volunteer Areas interested in: Office Data Entry Laundry Work with Dogs Work with Cats Flowerbeds Take photos/videos Short-term fostering Grant writing Transportation to Vet, etc Light repairs Other Check which applyDo you have reliable transporation?(Required) Yes No Number of hours a week available?Times availableVolunteer ExperienceTell us about your previous volunteering experienceDescribe your experience working with animals (including your pets), and any trainingRelease and Waiver of LiabilityThis release and Waiver of Liability the 'release') ( ('the volunteer") in favor of the SPCA San Pat County, a non-profit corporation organized and existing under the laws of the state of Texas, USA. I, the volunteer, desire to work as a volunteer for SPCA San Pat County and engage in the activities related to being a volunteer for any assigned project that I wish to work on. I hereby freely and voluntarily, without duress, execute this release under the following terms: 1. Waiver and Release: I, the volunteer, release and forever discharge and hold harmless the SPCA San Pat County and its successors from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity which arise or may hereafter arise from my work for the SPCA San Pat County. 2. Insurance I understand and acknowledge that this release discharges the SPCA SPC from any liability or claims that I, the volunteer, may have against the SPCA SPC with respect to bodily injury, illness, death, or property damage that may result from my participation in volunteer activities. I also understand the SPCA SPC is not liable for the volunteer's medical expenses. Claims for such incidents should be taken up with the volunteer's own insurance carrier. 3. Medical Treatment I hereby release and forever discharge the SPCA SPC from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment of other medical services rendered in the connection with an emergency during any volunteer time with the SPCA SPC. 4. Assumption of Risk: I hereby expressly and specifically assume the risk of injury or harm in these activities and release the SPCA SPC from all liability for injury, illness, death or property damage resulting from teh activities of my time with the SPCA SPC. I understand that there are activities that may be hazardous to me. I do understand that working with the animals does have a risk for being bitten, scratched, or hurt. 5. In case of emergency situation, please contact the following person: Emergency contact name:(Required)Relationship:Emergency contact number:(Required)AddressVolunteer Signature(Required)Parent/Guardian Signature (if volunteer is under 18)
